Ultrasound‐Guided Hydrodilatation of the Shoulder Capsule at the Rotator Interval: Technical Tips and Tricks

Adhesive capsulitis and disorders of the intra‐articular portion of the long head of the biceps brachii tendon are common causes of shoulder pain. Sonographic findings, coupled with clinical evaluation and medical history, are paramount for prompt diagnosis. Herewith, either to precisely confirm the pain generator(s) or to appropriately treat relevant cases, ultrasound‐guided interventions are often required in daily clinical practice. Targeting the anatomical structures involved in the aforementioned pathological conditions, we briefly describe some technical tips and tricks as regards ultrasound‐guided hydrodilatation of the shoulder capsule at the rotator interval.

[1]  Ke-Vin Chang,et al.  The Biceps Long‐Head Tendon: An Overlooked Pain Origin for Ultrasound‐Guided Injection , 2020, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[2]  Der-Sheng Han,et al.  Ultrasound-Guided Standard versus Dual-Target Subacromial Corticosteroid Injections for Shoulder Impingement Syndrome: A Randomized Controlled Trial. , 2019, Archives of physical medicine and rehabilitation.

[3]  J. Brismée,et al.  Accuracy of Two Ultrasound‐Guided Coracohumeral Ligament Injection Approaches: A Cadaveric Study , 2019, PM & R : the journal of injury, function, and rehabilitation.

[4]  Ke-Vin Chang,et al.  Ultrasound-guided interventions for painful shoulder: from anatomy to evidence , 2018, Journal of pain research.

[5]  Tsai-Hsueh Leu,et al.  Arthroscopic extended rotator interval release for treating refractory adhesive capsulitis , 2017, Journal of orthopaedic surgery.

[6]  M. Hsiao,et al.  EURO-MUSCULUS/USPRM Basic Scanning Protocols for shoulder. , 2015, European journal of physical and rehabilitation medicine.

[7]  A. Napoli,et al.  MRI of adhesive capsulitis of the shoulder: distension of the bursa in the superior subscapularis recess is a suggestive sign of the pathology. , 2014, European journal of radiology.

[8]  K. Akita,et al.  Functional anatomy of the superior glenohumeral and coracohumeral ligaments and the subscapularis tendon in view of stabilization of the long head of the biceps tendon. , 2010, Journal of shoulder and elbow surgery.

[9]  W. F. Bennett Subscapularis, medial, and lateral head coracohumeral ligament insertion anatomy. Arthroscopic appearance and incidence of "hidden" rotator interval lesions. , 2001, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[10]  A. Pearsall,et al.  The intra-articular component of the subscapularis tendon: anatomic and histological correlation in reference to surgical release in patients with frozen-shoulder syndrome. , 2000, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[11]  D. E. Cooper,et al.  Supporting layers of the glenohumeral joint. An anatomic study. , 1993, Clinical orthopaedics and related research.